Clinical Trials
Study Course Implementer
Riga, 26a Anniņmuižas boulevard, mdak@rsu.lv, +371 67061568
About Study Course
Objective
Preliminary Knowledge
Learning Outcomes
Knowledge
1.As a result of the completion of the study course, students will acquire knowledge and understanding of planning, organising, managing, documenting clinical trials and reporting results in accordance with international standards of ethics, quality and good clinical practice. Students will learn the basic principles of good clinical practice, professional terminology, and understand the rights, responsibilities and responsibilities of the parties and subjects involved in the study. At the end of the course, students will be able to link theoretical knowledge with practical examples, apply clinical trial methods in a reasoned manner and develop a research protocol.
Skills
1.During the course, students will learn appropriate professional terminology and develop the ability to use it in the context of clinical trials. Students will be able to link theoretical knowledge to practical examples of clinical trials, reasonably justify the chosen study approach and apply clinical trial methods to the development of the research protocol.
Competences
1.After completion of the course, students will be able to analyse the structure of the clinical trial, evaluate the ethical and methodological aspects of the study, describe the principles of documentation and data management of the study, as well as prepare and present the clinical trial protocol in compliance with the requirements of research ethics, data protection, safety and quality.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Independent work No 1 |
20.00% from total grade
|
10 points
|
|
analysis of 3- 5 scientific articles on the topic of selected clinical trials |
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|
2.
Independent work No 2 |
20.00% from total grade
|
10 points
|
|
analysis of 3 - 5 scientific articles on the topic of selected clinical trials |
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Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Clinical trial protocol |
50.00% from total grade
|
10 points
|
|
Clinical trial protocol and its presentation |
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|
2.
Self-test tests |
10.00% from total grade
|
10 points
|
|
Tests in e-studies on theoretical topics of the course |
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Study Course Theme Plan
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Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
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Video
|
2
|
Topics
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Experimental study aims and history.
Description
In a lecture titled “The history, goals and meaning of experimental Research,” students explore the evolution of experimental research in healthcare and medicine, from early observations to modern clinical trial standards. The role of experimental research in evaluating the effectiveness and safety of new treatments, medicines, medical technologies and care interventions is being looked at. |
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Video Lecture
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Modality
|
Location
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Contact hours
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|---|---|---|
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Off site
|
Video
|
2
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Topics
|
Design and methodology of clinical trials, phases
Description
In lectures on the design, methodology and phases of clinical trials, students acquaint themselves with the basic principles of clinical trial planning, the main study designs and their application in healthcare research. Clinical trial phases, their objectives, participant engagement principles, data acquisition and evaluation approaches and methodological aspects that ensure the scientific quality, reliability and safety of the study are considered. |
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Video Lecture
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Modality
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Location
|
Contact hours
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|---|---|---|
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Off site
|
Video
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2
|
Topics
|
Ethics of Biomedicine and clinical trials
Description
In the lecture “ethical aspects in Biomedical and Clinical trials,” students acquaint themselves with the key principles of research ethics to be followed when planning and implementing research with human involvement. The protection of subjects’ rights, safety, dignity, privacy and goodwill and the importance of informed consent in clinical trials are addressed. |
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Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
Video
|
2
|
Topics
|
Monitoring of clinical trials and data management
Description
In the lecture “monitoring of clinical trials and data Management”, students acquaint themselves with the principles of quality assurance, monitoring and documentation of clinical trials. The role of study monitoring in the protection of participant safety, compliance with protocol requirements, assurance of data reliability and compliance of study progress with the requirements of good clinical practice shall be considered. |
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Class/Seminar
|
Modality
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Location
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Contact hours
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|---|---|---|
|
On site
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Study room
|
2
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Topics
|
Pharmacovigilance basics.
Description
In the “basics of Pharmacovigilance” class, students acquaint themselves with the importance of pharmacovigilance in clinical trials and healthcare, with a particular focus on monitoring the safety of medicines, recognising, documenting and reporting adverse reactions. Basic concepts of pharmacovigilance such as adverse event, serious adverse event, adverse drug event and unexpected adverse event are considered. In the practice, students analyze examples and situations where patient safety needs to be evaluated, different types of adverse events should be distinguished, and reporting needs determined. The lesson develops the ability to apply pharmacovigilance principles to clinical trial documentation and understand the responsibility of the research team to ensure the safety of participants. |
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Study room
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2
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Topics
|
Risk management in clinical trials.
Description
In the “risk Management in Clinical trials” class, students acquaint themselves with the importance of risk management in planning and implementing clinical trials, paying particular attention to ensuring participant safety, data quality and study compliance. The principles of good clinical practice, the responsibility of the research team, identification, evaluation, mitigation and monitoring of risks throughout the duration of the study are considered. In the practice, students analyze potential risks in the clinical trial protocol, such as participants’ safety risks, data gaps, protocol deviations, documentation errors, and failure to comply with ethical requirements. The lesson develops the ability to apply the principles of good clinical practice and develop risk mitigation measures to ensure the quality of the study, the protection of participants’ rights and the reliability of the data obtained. |
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Study room
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2
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Topics
|
Clinical trials of medical devices.
Description
In the “Clinical trials of Medical devices” class, students become acquainted with the specificities of clinical trials of medical devices, the principles of planning, implementation, documentation and supervision thereof. Differences between clinical trials of medicinal products and medical devices, classification of medical devices, evaluation of safety and performance, as well as regulatory and ethical requirements for conducting such studies are considered. In the practice, students analyze examples of medical device studies, evaluate potential risks to the patient, study design specificities, data collection requirements, and principles for reporting adverse events. The lesson develops the ability to understand the specificities of medical device studies and apply the principles of clinical trial methodology, good clinical practice and patient safety in the evaluation of medical devices. |
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Class/Seminar
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Study room
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2
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Topics
|
Audits and inspections in clinical trials.
Description
In the lesson “audits and inspections in clinical trials”, students acquaint themselves with the importance of audits and inspections in ensuring the quality, safety and compliance of clinical trials. It is considered how audits and inspections help assess the conformity of the research process with the protocol, good clinical practice requirements, regulatory enactments and quality standards of the research documentation. In the practice, students analyze more common discrepancies in clinical trials, such as incomplete documentation, protocol deviations, insufficient informed consent process, data discrepancies, and safety reporting delays. The lesson develops the ability to prepare for an audit or inspection, identify potential quality risks and understand the responsibility of the research team in implementing corrective and preventive actions. |
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Class/Seminar
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
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Study room
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2
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Topics
|
Indicators of health outcomes in clinical trials.
Description
In the lesson “Health outcomes indicators in Clinical trials”, students become acquainted with the importance of health outcomes indicators in the planning, implementation and interpretation of clinical trials. Primary and secondary outcome indicators, clinical, patient reported and functional outcomes are considered, as well as the role of their choice in achieving the objective of the study and ensuring the reliability of the results. In the practice, students analyze examples of clinical trials, identify the outcome indicators used in them, and evaluate whether they are consistent with the purpose of the study, the design of the study, and the group of participants. The lesson develops the ability to formulate, justify and critically evaluate the health outcomes indicators to be used in the clinical trial protocol. |
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
|
On site
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Study room
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2
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Topics
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Management of investigational drugs and data.
Description
In the lesson “Management of investigational medicinal products and data”, students acquaint themselves with the basic principles for the circulation of investigational medicinal products and the management of clinical trial data. Consideration is given to receiving, storing, dispensing, accounting, returning or destroying investigational medicinal products, as well as documentation requirements that ensure the traceability of the medicinal products and the safety of participants. During the practice, students analyze situations related to the accounting of investigational medicinal products, temperature control requirements, dose issuance, documentation of non-compliances and compliance with protocol requirements. At the same time, we are looking at the principles of data management: data collection, input, verification, correction, storage, confidentiality and traceability. The lesson develops the ability to ensure correct management of investigational medicinal products and data in accordance with the requirements of good clinical practice. |
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Class/Seminar
|
Modality
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Location
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Contact hours
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|---|---|---|
|
On site
|
Study room
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2
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Topics
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Study population, selection principles, sample size determination
Description
In the lesson “study population, selection principles, sample size determination”, students acquaint themselves with the basic principles of the definition of the study population, selection of participants and sample selection in clinical trials. The concepts of target population, available population and study sample are considered, as well as the role of inclusion and exclusion criteria in ensuring the quality, safety and generalizability of the study results. In the practice, students analyze examples of clinical trials, evaluate participants’ selection criteria, and discuss sample representativeness, selection errors, and possible prejudices. The basic principles for determining sample size are also considered, including the importance of the study objective, outcome indicators, statistical capacity and expected withdrawal of participants. The lesson develops the ability to correctly define the study population, develop selection criteria, and argue for sample selection in the clinical trial protocol. |
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Class/Seminar
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Study room
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2
|
Topics
|
Clinical trial protocol.
Description
In the lesson “Clinical study Protocol” students present the clinical trial protocols developed during the course and justify the chosen topic, topicality, purpose, tasks, study design, population, selection criteria, outcome indicators, data acquisition and analysis plan, as well as ethical and safety aspects of the study. During the lesson, students demonstrate the ability to present their research intention in a structured and reasoned manner, link theoretical knowledge to practical protocol development and answer questions about methodological, ethical and organisational solutions. The lesson serves as a final examination of the course, in which the student’s ability to independently develop, justify and defend the clinical trial protocol is assessed. |
Bibliography
Required Reading
Starptautiskās harmonizācijas konferences (ICH/CPMP/135/35) norādījumi par labu klīnisko praksi_latviski
Love SB, Yorke-Edwards V, Ward E, Haydock R, Keen K, et al. What is the purpose of clinical trial monitoring? Trials. 2022 Oct 1;23(1):836. PMID: 36183080; PMCID: PMC9526458.Suitable for English stream
Additional Reading
Friedman, L.M., Furberg, C.D., DeMets, D.L. Fundamentals of Clinical Trials. Springer, 2015, p.445Suitable for English stream
Jones CT, Griffith CA, Fisher CA, Grinke KA, et al. Nurses in clinical trials: perceptions of impact on the research enterprise. J Res Nurs. 2022 Mar;27(1-2):50-65. Epub 2022 Apr 1. PMID: 35392186; PMCID: PMC8980586.Suitable for English stream
Lesley Wilkes, Debra Jackson, Charmaine Miranda, Roger Watson. The role of clinical trial nurses: An Australian perspective, Collegian, Volume 19, Issue 4, 2012, Pages 239-246. https://doi.org/10.1016/j.colegn.2012.02.005.Suitable for English stream
Klatte K, Pauli-Magnus C, Love SB, Sydes MR, Benkert P, et al. Monitoring strategies for clinical intervention studies. Cochrane Database Syst Rev. 2021 Dec 8;12(12):MR000051. doi: 10.1002/14651858.MR000051.pub2. PMID: 34878168; PMCID: PMC8653423.Suitable for English stream
Síle F. Molloy, Patricia Henley. Monitoring clinical trials: a practical guide.Suitable for English stream
Other Information Sources
Ministru kabineta noteikumi Nr.289 Rīgā 2010.gada 23.martā (prot. Nr.15 34.§) Noteikumi par zāļu klīniskās izpētes un lietošanas novērojumu veikšanas kārtību, pētāmo zāļu marķēšanu un kārtību, kādā tiek vērtēta zāļu klīniskās izpētes atbilstība labas klīniskās prakses prasībām.
Discussion The research nurse’s role in managing patient expectation in clinical trialsSuitable for English stream
Good Clinical Practice Guidance and Pragmatic Clinical Trials: Balancing the Best of Both WorldsSuitable for English stream